世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
57期
39-39,41
,共2页
白带%阴道炎%临床应用价值
白帶%陰道炎%臨床應用價值
백대%음도염%림상응용개치
leucorrhea%vaginitis%clinical value
目的：评价珠海丽拓白带五联检仪器和试剂在临床应用上的价值。方法：20000例妇科门诊患者阴道分泌物标本同时用珠海丽拓五联检仪器检测和显微镜镜检，用kappa检验比较两种方法。结果：珠海丽拓五联检结果与镜检结果相比较：过氧化氢诊断符合率为93.6％，假阴性率8.06%，κ=0.806，U=18.2，P<0.05一致性良好；细菌性阴道病（BV）诊断符合率为93.9％，假阴性率6.9%，κ=0.793，U=10.3，P<0.05一致性良好；霉菌、滴虫诊断符合率为78.9％，假阴性率52.9%，κ=0.448，U=6.31，P<0.05一致性中等。结论珠海丽拓白带五联检仪器操作方便，节省了人力。霉菌、滴虫结果假阴性率太高，因此不能取代人工显微镜镜检；而过氧化氢、白细胞酯酶、唾液酸苷酶与镜检结果一致性良好，可以满足基层医院临床使用要求。
目的：評價珠海麗拓白帶五聯檢儀器和試劑在臨床應用上的價值。方法：20000例婦科門診患者陰道分泌物標本同時用珠海麗拓五聯檢儀器檢測和顯微鏡鏡檢，用kappa檢驗比較兩種方法。結果：珠海麗拓五聯檢結果與鏡檢結果相比較：過氧化氫診斷符閤率為93.6％，假陰性率8.06%，κ=0.806，U=18.2，P<0.05一緻性良好；細菌性陰道病（BV）診斷符閤率為93.9％，假陰性率6.9%，κ=0.793，U=10.3，P<0.05一緻性良好；黴菌、滴蟲診斷符閤率為78.9％，假陰性率52.9%，κ=0.448，U=6.31，P<0.05一緻性中等。結論珠海麗拓白帶五聯檢儀器操作方便，節省瞭人力。黴菌、滴蟲結果假陰性率太高，因此不能取代人工顯微鏡鏡檢；而過氧化氫、白細胞酯酶、唾液痠苷酶與鏡檢結果一緻性良好，可以滿足基層醫院臨床使用要求。
목적：평개주해려탁백대오련검의기화시제재림상응용상적개치。방법：20000례부과문진환자음도분비물표본동시용주해려탁오련검의기검측화현미경경검，용kappa검험비교량충방법。결과：주해려탁오련검결과여경검결과상비교：과양화경진단부합솔위93.6％，가음성솔8.06%，κ=0.806，U=18.2，P<0.05일치성량호；세균성음도병（BV）진단부합솔위93.9％，가음성솔6.9%，κ=0.793，U=10.3，P<0.05일치성량호；매균、적충진단부합솔위78.9％，가음성솔52.9%，κ=0.448，U=6.31，P<0.05일치성중등。결론주해려탁백대오련검의기조작방편，절성료인력。매균、적충결과가음성솔태고，인차불능취대인공현미경경검；이과양화경、백세포지매、타액산감매여경검결과일치성량호，가이만족기층의원림상사용요구。
Objective:to evaluate the clinical value of vaginitis multi tests.Methods:thevaginal secretions from 20000 gynecological outpatients were tested with the vaginitis multi testsand microscopical examination, the two methods were compared with each other by kappa.Results:the vaginitis multi tests compared with microscopical examination:the homology rate of hydrogen peroxide was 93.6%,the false negative rate was 8.06%, κ=0.806, U=18.2,P<0.05,had good consistency;the homology rate of bacterial vaginosis(BV) was 93.9%,the false negative rate was 6.9%,κ=0.793,U=10.3,P<0.05,had good consistency ; The homology rate of mould and trichomonad was78.9% ,the false negative rate was 52.9%, κ=0.448, U=6.31, P<0.05,had medium consistency.Conclusion:the vaginitis multi tests is easy to operate and economizes on manpower, Because of the high false negative rate of mould and trichomonad,it can’t replace microscopical examination;There is no signiifcant difference with microscopical examination in detecting hydrogen peroxide , leukocyte esterase and neuraminidase,therefore the vaginitis multi tests can content the clinical requirements of basic hospital.
